The Smile Mission New Port Richey PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE SMILE MISSION NEW PORT RICHEY PLLC

Practice address

7400 State Road 52
Hudson, FL 34667-6713

Phone

(786) 701-8246

NPI assigned

Dec 15, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dustin Pfundheller

Title

Manager

Phone

(786) 701-8246

Specialties & licenses 1

Addresses

Other names 1

• The Smile Mission New Port Richey PLLC Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1710755046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SW 168TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331574378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676713",
            "telephone_number": "786-701-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILE MISSION NEW PORT RICHEY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "PFUNDHELLER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-701-8246"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Mission New Port Richey PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dental Clinic/Center in Hudson, FL
• Providers in Hudson, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.